Individual
AMBER NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP, LCSW
Contact information
Practice address
720 GRACERN RD STE 120, COLUMBIA, SC 29210-7657
(803) 296-2191
(803) 551-1252
Mailing address
1122 LADY ST OFC 239, COLUMBIA, SC 29201-3489
(803) 855-1068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11712
SC
1041C0700X
Clinical Social Worker
C013446
NC
Other
Enumeration date
08/18/2017
Last updated
04/27/2021
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